NPI | 1528505583 |
---|---|
Doing Business As | STAFFORD DENTISTRY |
Entity Type | Organization |
Authorized Contact | DOUGLAS SCOTT STAFFORD Owner 813-655-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN12972) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2017-01-27 |